| NPI | 1730950155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LANHAM Billing Manager 314-788-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-07-23 |